<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <title>layui</title>
    <meta name="renderer" content="webkit">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
    <link rel="stylesheet" href="lib/layui-v2.6.3/css/layui.css" media="all">
    <link rel="stylesheet" href="css/public.css" media="all">
    <style>
        body {
            background-color: #ffffff;
        }
    </style>
</head>
<body>
<div class="layui-form layuimini-form" lay-filter="formTest" >
<!--    记录id,方便修改-->
    <input type="hidden" name="id">
    <div class="layui-form-item">
        <label class="layui-form-label required">姓名：</label>
        <div class="layui-input-block">
            <input type="text" name="pname" lay-verify="required" lay-reqtext="姓名不能为空" placeholder="请输入姓名" value="" class="layui-input" readonly>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label required">填写地区：</label>
        <div class="layui-input-block">
            <input type="text" id="adress" name="padress" lay-verify="required" lay-reqtext="地区不能为空" placeholder="请输入地区" value="" class="layui-input" readonly>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label required">手机：</label>
        <div class="layui-input-block">
            <input type="number" id="phone" name="pphone" lay-verify="required" lay-reqtext="手机不能为空" placeholder="请输入手机" value="" class="layui-input" readonly>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label">健康状况：</label>
        <div class="layui-input-block" readonly="readonly">
            <input type="text" name="health" value="" class="layui-input" readonly>
        </div>
    </div>

    <div class="layui-form-item" id="area-picker">
        <div class="layui-form-label">隔离地区：</div>
        <div class="layui-input-block">
            <input name="qadress" placeholder="请输入地址" value="" class="layui-input" readonly>
        </div>
    </div>
    <div class="layui-form-item" id="area-picker1">
        <div class="layui-form-label">去过的地区：</div>
        <div class="layui-input-block">
            <input name="oadress" placeholder="请输入地址" value="" class="layui-input" readonly>
        </div>
    </div>
    <div class="layui-form-item" >
        <div class="layui-form-label">隔离状态：</div>
        <div class="layui-input-block">
            <input name="quarantine" placeholder="请输入隔离状态" value="" class="layui-input" readonly>
        </div>
    </div>
    <div class="layui-form-item">
        <div class="layui-input-block">
            <button class="layui-btn layui-btn-normal" lay-submit lay-filter="saveBtn">返回</button>
        </div>
    </div>
</div>
<script src="lib/layui-v2.6.3/layui.js" charset="utf-8"></script>
<script>
    layui.use(['form'], function () {
        var form = layui.form,
            layer = layui.layer,
            laydate=layui.laydate,
            $ = layui.$;
        laydate.render({
            elem: '#date1' //指定元素
        });
        //获取数据
        var json=localStorage.getItem("details");
        //为表单赋值
        var  json1=JSON.parse(json);
        if (json1.health='1'){
            json1.health='健康'
        }else if (json1.health='2'){
            json1.health='良好'
        }else {
            json1.health='一般'
        }
        form.val("formTest", json1);

        //监听提交，实现数据修改
        form.on('submit(saveBtn)', function (data) {
            //请求接口 Ajax

                    // 关闭弹出层
                    var iframeIndex = parent.layer.getFrameIndex(window.name);
                    parent.layer.close(iframeIndex);
                    window.parent.location.reload();

        });

    });
</script>
</body>
</html>